Abstract

PURPOSE: Assessment of anastomosis after sleeve resection relies on bronchoscopic/radiographic evaluation. Up to 25% of patients show impaired healing and 4-9% develop complete dehiscence. Decision to reoperate may be delayed, as endoscopic differentiation of superficial necrosis from deep destruction can be difficult. Since endobronchial ultrasound (EBUS) allows visualization of the 7 layers of the bronchial wall and its surroundings, we investigated EBUS in evaluation of anastomoses after sleeve resection for lung tumors.

METHODS: Anastomoses of 128 patients undergoing sleeve resection in 2 years (2008-09) were evaluated by bronchoscopy and EBUS on day 7, and in impaired healing again on day 12 and following. EBUS images by a 20MHz-radial probe with balloon at the site of anastomosis were interpreted for presence of edema, necrosis, dehiscence, surrounding fluid, vessels in the vicinity and position of covering flap. According to the findings, the healing process was classified as uncomplicated, delayed and insufficient.

Return to: Is There a Role of EBUS in the Follow-up of the Anastomosis After Sleeve Resections?

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